Migration Of Foreign Body Research Articles

Spontaneous migration of periocular glass foreign body: An interesting case

Spontaneous migration of periocular glass foreign body: An interesting case

Spontaneous expulsion and migration of a bronchial foreign body: A flustering rare dental accident

Spontaneous expulsion and migration of a bronchial foreign body: A flustering rare dental accident

Complications of orbital endoimplantation in the Eye Clinic of the Lithuanian University of Health Sciences.

The aim of the study was to analyse the rate of complications of orbital endoimplantation in patients operated from 2002 to 2014 at the Eye Clinic of the Lithuanian University of Health Sciences and to compare it with the results in the literature. Enucleation must be performed very carefully in order to prevent any additional trauma, infection, deformation, and to create an optimal conjunctival socket. However, complications occur despite efforts and qualified surgeons. The most common complications described in the literature are thinning and cysts of the conjunctiva, a foreign body reaction, secretion, symblepharons, fornix deficiency, ptosis, permanent pain, dislocation, migration and protrusion of the implant, a primary or secondary infection, and implant extrusion.From 2002 to 2014, 128 patients underwent orbital endoimplantation surgery at the Eye Clinic. The most common complications were conjunctival erosion (five patients, or 2.9%), cysts (nine patients, or 7%), and implant extrusion (five patients, or 2.9%). The type and rate of complications were very similar to the data in the literature.

Retained foreign body migration to the colon: A rare cause of small bowel obstruction

Retained foreign bodies (RFBs) also called retained swab, or gossypiboma, is a term for a surgical complication resulting from foreign materials accidently left in a patient's body. The symptoms following this entity are non-specific which make clinical diagnosis difficult. The computerized tomography (CT) scan is the most useful method for diagnosis; however, sometimes the preoperative diagnosis remains uncertain even after the imaging exam. In that case, laparoscopy arises as a valuable diagnostic tool, as well as a prompt treatment option. We report a case of a 22- year-old woman with a 2-weeks-history of abdominal pain and, recurrent then complete small bowel obstruction, three months after lower segment caesarian section. Laparotomy showed an intraperitoneal gossypiboma that has penetrated into ileum through two fistulae communicating with the proximal ileum and the colic sigmoid.

Penetrating Neck Injury Causing Foreign Body (Stone) in Right Lower Lobe Bronchus

SESSION TITLE: Student/Resident Case Report Poster - Procedures SESSION TYPE: Student/Resident Case Report Poster PRESENTED ON: Tuesday, October 25, 2016 at 01:30 PM - 02:30 PM INTRODUCTION: Penetrating neck injuries comprise of 5 to 10% of all trauma cases, potentially dangerous and require emergency management. Various vital structures like neck vessels,pharynx,trachea,esophagus,brachial plexus,peripheral nerves and cranial nerves are being unprotected, are vulnerable to trauma. We are presenting a case of accidental penetrating injury of the neck with a chip-of-stone during chiselling causing pneumomediastinum and foreign-body in the tracheobronchial tree. CASE PRESENTATION: History: A 20-year female presented to us with history of accidental penetrating injury to anterior part of the neck while chiselling stone with hammer, a chip-of-stone projected with high-velocity, hit the neck causing cough, dyspnoea & resulted in subcutaneous-emphysema. On Examination: Patient was conscious, oriented and Vitals were stable. 1×0.3cm raw wound was present without any bleeding in the anterior part of neck just below cricoid cartilage with Subcutaneous-Emphysema involving neck and upper chest. Observations: HRCT Thorax revealed pneumomediastinum with ?Foreign-body in Right lower lobe bronchus. Flexible-bronchoscopy showed laceration in anterior wall of trachea and Foreign-Body (chip-of-stone) lodged in posterolateral segmental bronchus of right lower lobe. Due to the non-availability of dormia basket, foreign-body couldn’t be removed. Foreign-body was spontaneously expelled out with cough, the next day. DISCUSSION: Tracheal injury secondary to penetrating trauma is a rare occurrence. However, if this injury goes unrecognized it can lead to serious sequelae which can become lifethreatening. A retained foreign body within the trachea or bronchus can lead to the development of airway strictures, as well as atelectasis, infection, and perforation. FOB is used for evaluation of distal airways and basic procedures such as biopsy, bronchoalveolar lavage, and suctioning of mucus plugs and blood clots. In the event of airway obstruction or failure to remove a foreign body while using FOB, it is important that a rigid bronchoscope be readily accessible CONCLUSIONS: Penetrating injury to neck is a surgical emergency need to be addressed quickly. Conservative treatment in subcutaneous-emphysema and pneumomediastinum without any life-threatening complication is favourable. Removal of foreign-bodies from the airway is essential in order to avoid complications such as tracheal-stenosis, pneumonia, bronchiectasis and foreign-body migration. This is a rare case managed conservatively and Foreign-body expelled by itself without any invasive procedures Reference #1: Elizabeth A Lax*, Sayee H Kiran and Michael W Lee. Bronchoscopic retrieval of a bullet using a Dormia basket: a case report. Lax et al. Journal of Medical Case Reports 2014, 8:358 Reference #2: Swanson KL, Edell ES: Tracheobronchial foreign bodies. Chest Surg Clin N Am 2001, 11(4):861-872 DISCLOSURE: The following authors have nothing to disclose: Narendra Umashankar, Gopal Purohit, Sunil Vyas, Isha Garg, Srikant Agarwal No Product/Research Disclosure Information

Transcutaneous migration of foreign body into thorax in children: A report of two cases

Abstract Inhalation and ingestion of foreign bodies is common in pediatric age group. However transcutaneous migration of sharps into the lung parenchyma is rarely reported and can be hazardous. We report two such cases with details on the diagnosis and the treatment modalities used for the management.

Wooden Foreign Body in the Renal Pelvis

Migration of foreign bodies into the renal collecting system is very rare and usually concerns iatrogenically implanted objects. Migration of a foreign body from the gastrointestinal tract to the kidneys is even more rare. We present a case of migration of a wooden toothpick from the duodenum into the pelvis of the right kidney. The patient was not aware that he swallowed a toothpick; the foreign body resulted in hematuria and flank pain. The toothpick was missed during the initial computed tomography urography. Correct diagnosis was revealed by follow-up computed tomography. The toothpick was extracted endoscopically.

Complications of tracheobronchial foreign bodies.

Tracheobronchial foreign bodies may cause several complications in the respiratory system. We aimed to present the complications of tracheobronchial foreign bodies. Between January 1990 and March 2015, 813 patients with suspected tracheobronchial foreign body aspiration were hospitalized in our department. Patients with complications related to foreign bodies in airways were included in this study. We retrospectively evaluated the records of patients according to symptoms, foreign body type, localizations, and complications. A foreign body was found in 701 of 813 patients (86.2%). Complications related to foreign bodies settled in airways were seen in 96 patients (13.7%). The most common complications were atelectasis and pneumonia in 36 (5.1%) and 26 (3.7%) patients, respectively. Other complications were bronchiectasis (n = 12, 1.7%), cardiopulmonary arrest (n = 11, 1.6%), bronchostenosis (n = 3, 0.4%), death (n = 2, 0.3%), migration of foreign body (n = 2, 0.3%), pneumomediastinum (n = 2, 0.3%), tracheal perforation (n = 1, 0.15%), pneumothorax (n = 1, 0.15%), and hemoptysis (n = 1, 0.15%). Coughing (n = 74, 77.1%) and diminished respiratory sounds (59.3%, n = 57) were the most common findings. Careful evaluation and rapid intervention are life-saving methods in tracheobronchial foreign body aspirations.

Is That an Oesophageal Foreign Body I See?

The presence of an oesophageal foreign body is a medical emergency requiring urgent evaluation and treatment and in cases with complications such as migration of foreign body or oesophageal perforation, surgical intervention may be necessary. We present a case of a 23 year old Chinese female with no significant past medical history who presented to the emergency department with central chest discomfort for a week. She had throat discomfort prior which started after she accidentally swallowed a small piece of cockle shell while eating. CXR and lateral neck X-ray were done which did not reveal any abnormalities. A referral was made to the ENT team to rule out the possibility of a foreign body, and a nasoendoscopy was performed which did not reveal any abnormalities. In view of her persistent symptoms, a CT chest was performed which revealed a curvilinear radio dense opacity at the aortopulmonary window measuring 1.0cm, which is suspicious for a foreign body. The differential for a radio dense opacity in the aorto-pulmonary window is calcification of the ligamentum arteriosum, which was the final diagnosis after exclusion with further investigations inpatient.

Migrated Intravesical Foreign Bodies: A Five Year Review

Introduction: Migratory foreign bodies make a separate group of intravesical foreign bodies and any object in vicinity of bladder may migrate into it. Material and methods: Retrospective analysis of migratory intravesical foreign bodies which were treated over last five year, done and discussed with the available literature. Results: Different foreign bodies reported to migrate into the bladder through different route. In most of the cases, they present with minimal lower Urinary Tract Symptoms (LUTS) which are often ignored by patients and clinicians; and it is the haematuria which draw medical attention. With time they encrustate into stone but rarely seen to migrate further. Conclusion: Almost any foreign body in lower abdomen may migrate into urinary bladder through almost any possible route, from where they rarely migrate further. Bladder remains as an ideal receptacle to retain them for long with encrustation.

JOURNAL OF PEDIATRIC CRITICAL CARE

Foreign body aspiration in children commonly presents with coughing, dyspnea, wheezing, cyanosis and stridor. Our case presented with cardio-respiratory arrest (CRA), and was successfully revived, but suffered recurrent CRA, and finally betel nut was retrieved from the airway. Here clinical course of the patient favours migration of foreign body leading to recurrent cardio-respiratory arrest. Foreign body migration in airway is an unusual phenomenon, and its presentation as recurrent cardio-respiratory arrest is very rare.

Migrated aural foreign body in parapharyngeal space

Foreign bodies in ear are very frequently encountered by an otorhinolaryngologist. They should be diagnosed and removed immediately. Otherwise it may cause complications like tympanic membrane perforation, chondritis, ossicular necrosis, facial palsy, inner ear injury or it may migrate to adjacent structures. It may migrate to subcutaneous tissue or middle ear. Migration of aural foreign body to parapharyngeal space is very rare and never been reported in literature. We are reporting this type of very unusual migrated foreign body which was recovered from the parapharyngeal space by a small incision endoscopic assisted approach after 8 years if insertion.

Correction of Late Posttraumatic Enophthalmos Using an Antral Balloon

Enophthalmos is the posterior displacement of the ocular globe within the bony orbit. Correction of late posttraumatic enophthalmos is one of the most challenging surgical procedures. We have performed a corrective procedure for late enophthalmos using an antral balloon, with or without minimal bone grafting. All orbital contents were separated from the bone fragments, infraorbital nerve, and mucosa of the maxillary antrum. The remaining orbital floor was fractured by the surgeon's digital pressure from the maxillary antrum. The antral balloon was placed in the maxillary antrum and inflated under direct vision from inside the orbit. After a consolidation period, the patient underwent antral balloon removal. A total of 5 patients underwent repair of late enophthalmos using this antral balloon technique. The median time from initial injury was 14 months (range, 6-90 months). The median antral balloon placement duration was 76 days (range, 53-106 days). Satisfactory symmetries were achieved in 4 patients. Mild residual enophthalmos remained in 1 patient, who had an orbital framework deformity and was missing the entire orbital bony floor preoperatively and who required simultaneous bone grafting. The ideal indication for our technique was the need for orbital floor reconstruction, without an orbital framework deformity. This technique could avoid autogenous bone grafting or permanent alloplastic implantation, which may cause a foreign body reaction, chronic inflammation, and migration. We believe that our new technique is one of the least invasive corrective procedures for late posttraumatic enophthalmos.

Resolution of Budd-Chiari syndrome secondary to needle foreign body migration in a dog: treatment with surgery and intravascular stenting

A 6.5-year-old, female spayed German short-haired pointer dog was presented with a two-week history of ascites. The dog was depressed with a severely distended abdomen. Peritoneal fluid analysis revealed a...

Foreign body venous transmigration to the heart

### Learning Point for Clinicians Despite its rarity, foreign body lodging into the major peripheral vein due to trauma can travel to central vein and even to the heart. Progressive proximal movement of foreign body should alert clinicians of the possibility of foreign body migration in the vein. Foreign bodies migrating from the major vein to the heart are rare;1 moreover, it is exceptionally rare to capture and report their course from the vein to the heart through sequential imaging. Progressive proximal movement of foreign body should alert clinicians of the possibility of foreign body migration in the vein. We demonstrate through sequential plain radiographs and computed tomography (CT) imaging of the course of an intravenous foreign body travelling to the right ventricle secondary to trauma to the right upper arm. A 35-year-old metal worker presented to a rural hospital with piercing injury to his right upper arm from a piece of metal. Plain radiograph of the right …

経横隔膜移動した腹腔内異物による肺膿瘍の1例

症例は既往に35年前，胆嚢摘出手術を受けた74歳の女性．慢性咳嗽と貧血を主訴に受診入院．胸部X線写真で右下肺野に巨大な腫瘤陰影を認めた．胸部CT・MRIで右下葉の腫瘤は内容物にガーゼを含有する肺膿瘍と診断された．術前検査で低肺機能があり肺葉切除が困難と判断され開窓術による異物除去と膿瘍内洗浄を行った．膿瘍腔内は有瘻性で治療に難渋したが，全身状態の改善を待って開窓術後3カ月目に二期的に大網充填術を行い軽快した．近年医療安全の推進により異物遺残の報告は減少してきたが，過去の開腹手術後のガーゼ遺残による手術や稀なガーゼの移動による症例の報告が散見されている．しかし，腹腔内に遺残したガーゼが横隔膜を越えて肺内で膿瘍を形成した報告は極めて珍しく調べられた報告では5例のみで，われわれの報告が6例目と考えられた．術後4年経過し再燃なく過ごしている．極めて珍しい症例を経験したので文献的考察を加え報告する．

Intestinal obstruction due to migration of a thermometer from bladder to abdominal cavity: A case report

Intraperitoneal foreign bodies such as retained surgical instruments can cause intestinal obstruction. However, intestinal obstruction due to transmural migration of foreign bodies has rarely been reported. Here, we report a case of intestinal obstruction due to a clinical thermometer which migrated from the bladder into the abdominal cavity. A 45-year-old man was admitted to our hospital with a one-year history of recurrent lower abdominal cramps. Two days before admission, the abdominal cramps aggravated. Intestinal obstruction was confirmed with upright abdominal radiography and computerized tomography scan which showed dilation of the small intestines and a thermometer in the abdominal cavity. Then laparotomy was performed. A scar was observed at the fundus of the bladder and a thermometer was adhering to the small bowels and mesentery which resulted in intestinal obstruction. Abdominal cramps were eliminated and defecation and flatus recovered soon after removal of the thermometer.

What Moved into the Lung? An Unusual Case of Foreign Body Migration

OREIGN body migration into the lung is a rare complication that can cause various symptoms. In adults, however, foreign body deposited in the lung can be tolerated and remain undetected for a long time. Delayed diagnosis and subsequent delayed treatment is usually associated with atypical complications. In this article, we describe a case of foreign body migration into the tracheobronchial tree. After a long time delay diagnosis, the foreign body was ultimately removed by operation.

Migration of a Fish Bone from the Upper Aerodigestive Tract to the Skin of the Neck: A Case Report

We describe an unusual case of a migratory foreign body (fish bone) in the neck of a 45-year-old woman. The 2.1-cm bone migrated from the esophagus and traversed through the entire soft tissue of the neck, and it almost extruded through the skin of the neck. With the patient under local anesthesia, the foreign body was easily extracted through an incision over the skin.

EComment. Foreign bodies in the heart

We read with great interest the paper by Pan et al. regarding a bullet embolization to the right ventricle through an aorto-caval traumatic fistula in a 19-year old patient [1]. The foreign body was removed uneventfully under cardiopulmonary bypass. Orthopaedic materials such as cement [2] and Kirschner wires [3–4] are among the most common iatrogenic materials that can migrate to the heart chambers. We recently published the case of an 80-year old female patient with a Kirschner wire in her right ventricle [3]. We would like to point out several important points concerning the mechanism of migration of foreign bodies to the heart. As stated by the authors [1], foreign bodies can enter venous system through a direct protrusion into the lumen or by a slower erosion of the vascular wall. In this case scenario, the foreign body migrates to the heart from a peripheral vein and ultimately lodges in the right heart chambers or the pulmonary artery vasculature. Direct penetration of the foreign bodies with sharp extremity is another possible explanation of migration of these devices to the heart. The migration is due to regional bone resorption, muscle activity, gravity and negative intra-thoracic pressure [5]. They can eventually puncture the heart after passing through adjacent structure and muscles causing pericardial effusion or pericarditis. To avoid potential Kirchner wire migration, several safety measures should be taken: bending the subcutaneous ends of the pins, rendering it properly secured, removing all devices after definitive healing and bone fixation, and following these patients up on a regular basis. Potential migration may be prevented by applying these simple measures. Conflict of interest: none declared.